I-cranial mononeuropathy III

I-Cranial mononeuropathy III yisifo sezinzwa. Kuthinta ukusebenza kwesibindi se-cranial sesithathu. Ngenxa yalokhu, lo muntu angaba nombono ophindaphindiwe kanye nejwabu leso.

I-Mononeuropathy isho ukuthi kuthinteka inzwa eyodwa kuphela. Lesi sifo sithinta inzwa yesithathu ye-cranial kugebhezi. Le ngenye yezinzwa ze-cranial ezilawula ukunyakaza kwamehlo. Izimbangela zingafaka:

• I-aneurysm yobuchopho
• Izifo
• Imithambo yegazi engajwayelekile (ukungasebenzi kahle kwemithambo yegazi)
• I-sinus thrombosis
• Ukulimala kwezicubu ekulahlekelweni kokugeleza kwegazi (infarction)
• Ukuhlukumezeka (kokulimala ekhanda noma okubangelwe ngengozi ngesikhathi sokuhlinzwa)
• Izimila noma okunye ukukhula (ikakhulukazi izicubu phansi kobuchopho nendlala ye-pituitary)

Ezimweni ezingavamile, abantu abane-migraine ikhanda banenkinga yesikhashana nge-oculomotor nerve. Lokhu kungenzeka kungenxa yokuphazamiseka kwemithambo yegazi. Kwezinye izimo, asikho isizathu esingatholwa.

Abantu abanesifo sikashukela bangabuye bahlakulele i-neuropathy yesibindi sesithathu.

Izimpawu zingafaka:

• Ukubona kabili, okuyisibonakaliso esivame kakhulu
• Ukudonsa ijwabu leso elilodwa (ptosis)
• Umfundi okhulisiwe onganciphisi lapho ukukhanya kukhanya kuwo
• Ubuhlungu bekhanda noma ubuhlungu beso

Ezinye izimpawu zingavela uma imbangela kuyisimila noma ukuvuvukala kobuchopho. Ukwehla kokuqapha kubucayi, ngoba kungaba uphawu lokulimala kobuchopho noma ukufa okusondelayo.

Ukuhlolwa kwamehlo kungakhombisa:

• Umfundi okhulisiwe (onwetshiwe) weso elithintekile
• Ukungahambi kahle kwamehlo
• Amehlo angahambelani

Umhlinzeki wakho wezokunakekelwa kwempilo uzokwenza ukuhlolwa okuphelele ukuthola ukuthi ngabe ezinye izingxenye zesistimu yezinzwa ziyathinteka yini. Ngokuya ngesizathu esisolwayo, ungahle udinge:

• Ukuhlolwa kwegazi
• Ukuhlolwa kokubheka imithambo yegazi ebuchosheni (i-cerebral angiogram, i-CT angiogram, noma i-MR angiogram)
• I-MRI noma i-CT scan yobuchopho
• Thepha umgogodla (ukubhoboza i-lumbar)

Ungadinga ukuthunyelwa kudokotela ogxile ezinkingeni zombono ezihlobene nesistimu yezinzwa (i-neuro-ophthalmologist).

Abanye abantu baba ngcono ngaphandle kokwelashwa. Ukwelapha imbangela (uma ingatholakala) kunganciphisa izimpawu.

Ezinye izindlela zokwelapha zokunciphisa izimpawu zingafaka:

• Imithi ye-Corticosteroid yokwehlisa ukuvuvukala futhi iqede ingcindezi kunzwa (uma ibangelwa isimila noma ukulimala)
• I-eye patch noma izingilazi ezinama-prism ukunciphisa umbono ophindwe kabili
• Imithi yezinhlungu
• Ukuhlinzwa ukwelapha ukudonsa ijwabu leso noma amehlo angahambelani

Abanye abantu bazophendula ekwelashweni. Kwabanye abambalwa, ukwehla kwamehlo unomphela noma ukulahleka kokuhamba kwamehlo kuzokwenzeka.

Izimbangela ezifana nokuvuvukala kobuchopho ngenxa yesimila noma isifo sohlangothi, noma i-aneurysm yobuchopho kungaba yingozi empilweni.

Shayela umhlinzeki wakho uma unombono ophindwe kabili futhi awusuki emizuzwini embalwa, ikakhulukazi uma nawe ujule ngokwejwabu leso.

Ukwelapha ngokushesha ukuphazamiseka okungacindezela emthanjeni kunganciphisa ubungozi bokuba ne-cranial mononeuropathy III.

Okwesithathu i-cranial nerve palsy; Ukukhubazeka kwe-Oculomotor; Umfundi ohilela ukukhubazeka kwemizwa yesithathu kwe-cranial nerve; Mononeuropathy - uhlobo kokucindezelwa

• Isistimu yezinzwa emaphakathi nesistimu yezinzwa ezungezayo

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I-Stettler BA. Ukuphazamiseka kwengqondo nobuchopho be-cranial. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 95.

UTamhankar MA. Ukuphazamiseka kokuhamba kwamehlo: ama-nerve palsies wesithathu, wesine, nesithupha nezinye izimbangela ze-diplopia kanye nokungahanjiswa kahle kwe-ocular. Ku: Liu GT, Volpe NJ, Galetta SL, ama-eds. Liu, Volpe, kanye Neuro-Ophthalmology kaGaletta. 3rd ed. IPhiladelphia, PA: Elsevier; 2019: isahluko 15.